Volume 7 | Issue 1 | Jan – April 2019 | Page: 16-18 | Devanshu Pathak, Prahlad Kadambi, Pushpa Krishna.
Authors: Devanshu Pathak , Prahlad Kadambi , Pushpa Krishna .
 Kempegowda Institute of Medical Sciences, Attibabe Road, Banashankari 2nd Stage , Bengaluru, Karnataka 560070 India
 Department of Physiology, KIMS Bangalore, Attibabe Road, Banashankari 2nd Stage, Bangalore 560 070
Address of Correspondence
Introduction: Rehabilitation refers to restoring health by therapy. Studies have suggested that there is deterioration of the quality of life during rehabilitation period of fractures. The aim of this study was to assess the quality of life during the rehabilitation of distal forearm fracture.
Methodology: Qualeffo questionnaire was used to determine the quality of life after obtaining permission from the International Osteoporosis Foundation. Institutional Ethics committee approval was obtained. Seven patients were randomly chosen (Mean age: 32.71 ± 23 years) from the wards of the Department of Orthopaedics, KIMS Hospital, Bengaluru, during September 2016. Inclusion criteria were patients 4 weeks into rehabilitation with distal forearm fracture. The study was explained to them and written consent obtained. The Qualeffo questionnaire was administered by interview method. A Qualeffo index ≥ 2700/4800 was considered as deteriorated quality of life. Data were tabulated and statistical analysis performed using statistical software Statistical Package for the Social Sciences (SPSS) V18.0.
Results: Mean Qualeffo index was 3114.28 ± 800.76. Five of seven patients (71.4%) had a deteriorated quality of life with Qualeffo index ≥ 2700. Mean score of disability disturbance was 3.714 ± 0.88. Mean score of the quality of life perception is 4.571 ± 0.49. There is a positive association between age and Qualeffo score which is statistically significant (r = 0.819, P = 0.023). A negative association between affected side in distal forearm fracture and index of the quality of life perception was observed but is not statistically significant (r= -0.471, P = 0.29).
Conclusion: Quality of life is affected during the rehabilitation of distal forearm fracture. However, the results of the study have to be confirmed with a study in a larger sample size.
Keywords: Quality of life, fracture
1. Felce D, Perry J. Quality of life: Its definition and measurement. Res Dev Disabil 1995;16:51-74.
2. Maheshwari J, Vikram AM. Essential Orthopaedics. 5th ed. New Delhi: Jaypee Publishers; 2015. p. 279.
3. Williams N, Challoumas D, Eastwood DM. Does orthopaedic surgery improve quality of life and function in patients with mucopolysaccharidoses? J Child Orthop 2017;11:289-97.
4. Tulsky DS, Rosenthal M. Measurement of quality of life in rehabilitation medicine: Emerging issues. Arch Phys Med Rehabil 2003;84:S1-2.
5. Goldhahn J, Beaton D, Ladd A, Macdermid J, Hoang-Kim A, Distal Radius Working Group of the International Society for Fracture Repair (ISFR). et al. Recommendation for measuring clinical outcome in distal radius fractures: A core set of domains for standardized reporting in clinical practice and research. Arch Orthop Trauma Surg 2014;134:197-205.
6. Tadic I, Vujasinovic Stupar N, Tasic L, Stevanovic D, Dimic A, Stamenkovic B, et al. Validation of the osteoporosis quality of life questionnaire QUALEFFO-41 for the Serbian population. Health Qual Life Outcomes 2012;10:74.
7. Alexiou KI, Roushias A, Varitimidis SE, Malizos KN. Quality of life and psychological consequences in elderly patients after a hip fracture: A review. Clin Interv Aging 2018;13:143-50.
8. Griffin XL, Parsons N, Achten J, Fernandez M, Costa ML. Recovery of health-related quality of life in a United Kingdom hip fracture population. The Warwick hip trauma evaluation a prospective cohort study. Bone Joint J 2015;97-B:372-82.
9. Ho JD, Al-Haseni A, Smith S, Bhawan J, Sahni D. Bullous complex regional pain syndrome: A description of the clinical and histopathologic features. J Cutan Pathol 2018;45:633-5.
10. Kiecolt-Glaser JK, Page GG, Marucha PT, MacCallum RC, Glaser R. Psychological influences on surgical recovery. Perspectives from psychoneuroimmunology. Am Psychol 1998;53:1209-18.
11. Kalache A, Gatti A. Active ageing: A policy framework. Adv Gerontol 2003;11:7-18.
12. Gutwinski S, Löscher A, Mahler L, Kalbitzer J, Heinz A, Bermpohl F, et al. Understanding left-handedness. Dtsch Arztebl Int 2011;108:849-53.
|How to Cite this article: Pathak D, Kadambi P, Krishna P. Quality of Life during Rehabilitation of Distal forearm Fracture: A Pilot Study. J Kar Orth Assoc. Jan-April 2019; 7(1): 16-18.